KEVIN CHARLES M.D.
NPI 1649616558
Internal Medicine - Critical Care Medicine in Gainesville, GA

Active since May 18, 2013PECOS EnrolledAccepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 219-9000 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2023, Sep 28, 2022, Dec 31, 2020 and 3 more (6 updates tracked since 2019).

About Kevin Charles M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN CHARLES M.D. (NPI 1649616558) is an individual critical care medicine provider in Gainesville, Georgia, licensed in Georgia (82582) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mimbres Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1649616558
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameKEVIN CHARLESCredential: M.D.
Location Address743 SPRING ST NEGainesville, GA 30501
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 18, 2013
Last NPPES UpdateFebruary 22, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1649616558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in GA · 82582 Licensed in LA · 302570
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 302570 (LA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 82582 (GA)
743 SPRING ST NE, Gainesville, GA 30501

Secondary Practice Locations 2

Location 18001 Youree Dr, Suite 4007Shreveport, LA 71115-2302 · Phone (318) 212-3821 · Fax (318) 212-3825
Location 27777 Hennessy Blvd Ste 409Baton Rouge, LA 70808-4365 · Phone (225) 765-5864 · Fax (225) 765-2013

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kevin Charles M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42519704
PECOS Enrollment IDI20230510000611, I20251020002669
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
741 services297 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
142 services75 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
75 services71 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
48 services48 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
35 services33 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mimbres Memorial Hospital

Critical Access Hospitals · Deming, NM
OwnershipProprietary
CMS Certification Number321309
Location900 W AshDeming, NM 88030 · Luna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers91 claims91 services$18.98 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers22 claims22 services$5.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers98 claims98 services$103.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hospitalist
743 SPRING ST NE
GAINESVILLE, GA 30501
Pediatrics (Neonatal-Perinatal Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Charles's NPI number?

The NPI number for Kevin Charles is 1649616558. It was assigned to this individual provider in the NPPES registry on May 18, 2013.

Where is Kevin Charles located?

Kevin Charles practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.

What is Kevin Charles's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kevin Charles enrolled in Medicare?

Yes. Kevin Charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kevin Charles accept?

Health plans from HMO Louisiana and Oscar Insurance Company list Kevin Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kevin Charles affiliated with any hospitals?

According to CMS data, Kevin Charles is affiliated with Mimbres Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Charles was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.